ABSTRACT
This study describes the use of tranexamic acid associated with other measures in the initial approach to contain bleeding in a situation of hemorrhagic shock in a trauma patient. The case describes the care of a young man with multiple thorax punctures by a melee weapon, quickly progressing to a condition of severe shock, in addition to the action of a helicopter emergency medical team supporting the patient's transportation from a low-complexity emergency care unit to a specialized unit.
Subject(s)
Air Ambulances , Emergency Medical Services , Shock, Hemorrhagic , Tranexamic Acid , Humans , Male , Resuscitation , Shock, Hemorrhagic/drug therapy , Tranexamic Acid/therapeutic useABSTRACT
A infecção do sítio cirúrgico constitui um grave problema dentre as infecções hospitalares por sua incidência, morbidade e mortalidade. Devido ao curto período de internação, a maioria dessas infecções se manifesta após a alta hospitalar, sendo subnotificada quando não há o seguimento do paciente cirúrgico. Programas de vigilância específicos do paciente após a alta são considerados fundamentais para controlar as infecções. O objetivo do estudo foi determinar a incidência de infecção do sítio cirúrgico e compararsua freqüência durante a internação e após a alta.
Infections are the most frequent complications in theoperated patient. In essence, these postoperative infections are characterizedas hospitals, as result of surgery or invasive procedures in hospital.Fortunately are caused mostly by bacteria that normally colonizemucocutaneous surfaces of the patients. Among the post-operative infections,the highlights are those of the surgical wound, abdominal cavityor organs manipulated during the surgical procedure and characterizingthe surgical site infections (SSI).
